Wilson, Juanita
Wilson, Juanita is an individual health care provider with primary practice located at 11155 Dunn Rd , Saint Louis MO 63136-6150. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Wilson, Juanita can be contacted via phone (314) 741-1400.Contact Information
Primary practice address
11155 Dunn Rd
Saint Louis MO 63136-6150
Phone: (314) 741-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 2010016002 | Missouri |
Profile Details
| NPI number | 1275818163 |
|---|---|
| LBN Legal business name | Wilson, Juanita |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2011 |
| Last updated | Oct 12th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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